The National Republican History Museum Foundation, Inc. is established to design,
construct, and sustain the National Republican History Museum in Ripon,
Wisconsin. We are dedicated to telling the authentic story of a political
movement that helped shape our nation. Your gift in support of this museum will
impact future generations.
PLEDGE
Donor Name _________________________________________________________________________
Organization _________________________________________________________________________
Address _____________________________________________________________________________
City, State, Zip ________________________________________________________________________
Phone Number _______________________
Email ________________________________________
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By checking this box, I permit the National Republican History Museum Foundation to contact me via email .
I/We pledge to provide a total gift of $ __________________ to the National Republican History Museum Foundation in support of
their mission to build the National Republican History Museum in Ripon, Wisconsin.
Signature[s]:
_______________________________________________________ Date: __________________
_______________________________________________________ Date: __________________
Name[s] as you wish it to appear in printed material: __________________________________________________
[Please Print]
When signed below on behalf of the National Republican History Museum Foundation, Inc. and recognizing that the Foundation will
rely on our promise and authorize expenses in the anticipation of our gift, this gift agreement is binding on and shall inure to the
benefit of the National Republican History Museum Foundation, Inc., its successors and assigns, and upon us, our representatives,
executors, heirs, successors and assigns.
I/We will complete this gift to the National Republican History Museum Foundation by the following method of payment:
Full Payment is enclosed | Check in the amount of $ ________________________________________________
I/We plan to provide _______ payments of $ _______________ annually. Please send a reminder notice on or before the
following dates:
$ ___________________ on _______________ , 2016
$ ___________________ on _______________ , 2016
$ ___________________ on _______________ , 2016
ACCEPTED FOR THE NATIONAL REPUBLICAN HISTORY MUSEUM FOUNDATION, INC. on this day, ____________________
____________________________________________________________________ Development Director, Renee Jaeger
Thank you for your commitment to help build the National Republican History Museum.
The National Republican History Museum Foundation, Inc. is a 501 © 3 organization and donations are tax-deductible to the full extent of the law.
National Republican History Museum Foundation, Inc. | 205 State Street, Ripon, WI 54971 | REPUBLICANHISTORYMUSEUM.ORG